Tag Archives: health

People who have health concerns often benefit from developing a strong relationship with their physician and healthcare team. This frequently means that these individuals will need to visit healthcare professionals on a regular basis.

Unfortunately, many people miss appointments or don’t make them at all, because of a lack of transportation. Over time, this can have a negative impact on an individual’s health and wellness. Here are some demographic groups who might have issues with transportation:

The Elderly: Many seniors are reluctant to drive in the evenings, during bad weather or long distances. This can limit windows for scheduling medical appointments and can result in cancellations in the case of snow, rain or other hazardous conditions.

People with Disabilities: Many people with disabilities not only don’t drive but may have difficulty getting in and out of standard vehicles. This can make it difficult for family and friends to drive a person with a disability to a medical appointment.

People Without Cars: Some individuals don’t have cars and may rely on public transit, taxis, ride share services or family and friends for transportation. If a person lives in an area with limited public transit or unreliable taxi service, getting to medical appointments can be difficult. This is particularly true if the office or clinic is in an out-of-the-way area that is not close to public transit.

Private Ambulances Can Help

Many people are not aware that there are private ambulance services that can help clients get to their medical appointments safely and efficiently. Private ambulances are equipped to transport clients who may be in wheelchairs, hospital beds, or have special medical equipment such as oxygen tanks. In addition, professionally trained drivers and attendants can escort clients into, and out of, clinics, hospitals and doctors offices.

Some clients may also have communication issues or may be suffering from conditions such as dementia. Private ambulance services are staffed by people who understand these issues and can communicate with medical staff on behalf of the client. Taxi or rideshare drivers typically do not have the expertise to provide this level of service.

If you are looking for a private ambulance service Dallas TX is home to companies like Amera Solutions, which provide safe, reliable transportation for nonemergency medical appointments. These services help keep Texas residents on schedule with medical appointments and reduce stress and scheduling issues for clients and their families alike.

Treatment of cervical cancer has special steps not like any cancer nowadays, as it’s first and most important step is cervical cancer prevention , and then treatment of non- invasive cervical cancer which is called CIN treatment , and finally invasive cervical cancer treatment.

Follow up of these cases is not less important than treatment itself.

Cervical cancer prevention

There are multiple ways to prevent cervical cancer , the most important steps are screening by pap smear in all sexually active women and follow up that screening according to the new guide lines N.B : details n cervical cancer screening , also early detection and treatment of cervical infection with follow up of it can prevent cervical cancer , having protected sexual course also minimize the rate for sexual transmitted disease and so decrease risk for human papilloma virus infection , which is the main cause lead to cancer cervix .

According to the stages of that pre invasive cancer , the stage 1 only treated by treatment of cervical infection and then doing regularly follow up , stage 2 treated by ablation, ablation mean applying electricity(electrocautry), laser , cryocautry( applying cold steam ) to the affected part of cervix which in turn lead to complete destruction of that cervical part , that ablation is simple measure and can be done in outpatient clinic , But when the cervical lesion extend in higher cervix which make the ablation difficult to be done , in that matter conization is indicated , which mean that part of cervix will be removed , that operation is bloody and have several complication. Stage 3 treated according to the patient age , as in young ages, treatment like stage 2 , but in ld ages treatment is mainly total removal of female uterus.

Treatment of invasive cervical cancer

Treatment of invasive cervical cancer is mainly according to the staging of cancer as in

Stage 1a : when the cancer is micro invasive and can not seen except by microscope , in that case surgery is indicated and the surgery method is to remove the uterus by opening the abdomen as that operation allow the surgeon to asses if there any spread to the lymph node .

Stage 1b,2: Stage 1b mean that the cancer is still confined to cervix , but has bigger size , and stage 2 mean that the cancer start to spread locally to vagina and pelvis wall , the treatment in these stages are surgery or radiotherapy , the choice between one of them one of them is contraindicated or non available , in surgery ,there are removal of uterus , tubes and ovaries , upper one forth of the vagina and cervical lymph node and lastly cervical ligament called parametrium , that operation is one of major one and has several complication and contraindications. Radiotherapy in that stage has two types external radiotherapy in which the female patient take about 4000-5000 rad to control cancer from the skin , other type is internal radiotherapy ,in that type radiating material called radium inserted inside female cervix and it used mainly to control disease in cervix , however radiotherapy seem to be more simple than surgery it has several contraindication , such as pelvic infection , in some cases in radio resistant tumors , also in pregnant women and also in cases of decreased white blood cells, prolapse and in recurrent cases , in these cases surgery is highly indicated. Some schools prefer to do both radiotherapy plus surgery especially in cases of large lesions when the spread is unexpected.

Stage 3 : In that stage radiotherapy is the treatment f choice , by any way external radiotherapy or internal radiotherapy.

Stage 4 a : That is mainly depend on the patient general health , as in good general health surgery is indicated in which uterus , tubes , ovaries, vagina and pelvic lymph nodes are removed plus bladder or rectum or in some cases both are removed .

Stage 4b or in poor health status : In these cases chemotherapy may be indicated , and palliative radiotherapy , also analgesics are given t reduce pain , and finally blood transfusion is indicated in severe bleeding .

Follow up of cervical cancer treatment

Following up treatment is not less in importance than cervical cancer treatment , as if there is no follow up , recurrence can occur and the disease start it’ cycle again , follow up is done clinically be going to your physician and he take completed history from you asking you about the main cervical symptoms and then doing her cervical examination , also screening by pap smear is very important , also he may take biopsy from you if that indicated .

Human papilloma virus (HPV) consider to be the main cause of cancer cervix , the cancer cervix vaccine developed mainly to prevent infection by human papilloma virus and it does not have any rule in prevention of cancer cervix nor prevention of other causes of cancer cervix.

Although cancer cervix vaccine developed to prevent HPV infection , it is only act against four strains of HPV which are HPV-16, HPV-11,HPV-6,and HPV-18 , as HPV-16,18 can result in cancer cervix by about 70% , and HPv-11,6 can result in about 90% of causing genital warts , which is predisposing finally to cancer cervix.

Gardasil is the first and the clinically approved vaccine , which is used now and the clinical trial say that is safe for females from age range 9 to 26 years old , and that vaccine offer safety reaching up to 100% to both HPV 16-18 in females who does not exposed before to the virus , there are three doses of that vaccine , the first one start by a date your health provider prescribe to you and the next dose about one months from the first one and finally the last dose after 6 months from the second dose.

Gardasil vaccine does not show to have any effects in females who previously exposed to HPV , and it only used to prevent infection by HPV in females before they begin their sexual life , as after beginning sexual life there is no rule exclude that you do not expose to the virus, and also it does not prevent cancer cervix and that mean taking the vaccine , does not exclude that you are not need for continous cervical cancer screening .

Gardasil vaccine have side effects like fainting is the most common side effects and so any female should be seated about 15 minutes after she receive the vaccine , there are also other side effects like muscle pain after injection , headache and generalized malaise, but there is no serious side effects.

There are another type for HPV infection it is called Cervarix , which is currently developed in india , and it act only against HPV strains 16-18 and does not show to be effective against other strains , it has the Gardasil schedule which is zero dose , after one month , after six months , it also have minimal side effects like headache , muscle pain and fatigue , but cervarix is given to females from age range 10 – 45 years old.

Which is better Cervarix or Gardasil vaccine , this is the question , up to now there is no any clinical trials compared between both vaccine , and each one has effects and side effects.

But finally the vaccine make you safe against HPV infection which is the main cause that result in cancer cervix , and that is the point , the choice between them you have to consult your health provider to help you , to pick the most effective for you and remember each female is unique and females are not the same.

Has Fido lost some of his spark? Or is your new puppy having accidents everywhere and chewing your furniture to bits? Whatever your reasons for looking for dog advice, here are just a few tips for making your fuzzy friend calmer, happier and better-behaved.

1. Use Positive Reinforcement

Instead of punishing your dog for bad behavior, try rewarding him for good behavior. For example, instead of yelling at him every time he barks, give him a treat when he doesn’t bark. This will create a Pavlovian reaction where he associates good behavior with good results.

2. Be Firm

If he isn’t allowed on the couch, don’t ever let him on the couch. Don’t make exceptions because “it’s his birthday” or “I had a long afternoon at the office and don’t care right now.” He won’t understand your logic, and if you send him mixed signals about what is and isn’t acceptable to do, you’ll only confuse and aggravate him.

3. Get Him Moving

Physical activity is one of the cornerstones of raising a happy dog. They aren’t meant to laze around all day without exercise or mental stimulation, and if you let them get in the habit of it, they’ll deteriorate both physically and psychologically. Grab his leash and take him for a walk.

4. Buy the Right Food

Don’t scrape the bottom of the barrel when it comes to what your dog gets fed. Look for something healthy, organic and nutritious that will really support his bones and organs. You can also buy supplements like dog glucosamine if you want to boost particular areas like the heart or liver. Just make sure you talk to your vet before putting your dog on any particular regimen!

5. Socialize Him

Socialization is important if you don’t want your dog to bark, growl or jump on everyone in front of him. When people are exciting novelties, your dog won’t be able to contain his thrill; when they’re just another part of the scenery, however, he’ll be calm and content to let them walk by without an ostentatious display. Think about scheduling regular visits to the dog park.

These are just a few things to consider if you want to improve your dog’s general health and well-being. There are many more, of course, but these should be enough to get you started. Woof woof!